Rivers, Kandis K.

Rivers, Kandis K. is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard, Detroit MI 48202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Rivers, Kandis K. can be contacted via phone (313) 916-2436.

Contact Information

Primary practice address
Henry Ford Health System 2799 West Grand Boulevard Detroit MI 48202
Phone: (313) 916-2436
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301062412 Michigan

Profile Details

NPI number 1114087988
LBN Legal business name Rivers, Kandis K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Dec 5th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114087988 NPPES
Other KR062412 COMMERCIAL-COMMERCIAL NUMBER
Other KR062412 COMMERCIAL-COMMERCIAL NUMBER
Other 340H264460 COMMERCIAL-COMMERCIAL NUMBER
MEDICAID 424080010 COMMERCIAL-COMMERCIAL NUMBER

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